Individual provider Active NPI

Jan Gregory Yabut Hipol, RN

  • Registered Nurse
  • Buffalo, NY
National Provider Identifier
1609758226
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
705500 Issued in NY
Practice address
3435 Main St
Buffalo, NY 14214-3099
Phone
(347) 860-9510
NPI assigned
Jul 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 705500 NY Primary

Addresses

Primary practice location

3435 Main St
Buffalo, NY 14214-3099

Mailing address

8843 Hollis Court Blvd
Queens Village, NY 11427-2313
Phone (347) 860-9510

Other practice location 1

8843 Hollis Court Blvd
Queens Village, NY 11427-2313
Phone (347) 860-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
705500NYMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1609758226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8843 HOLLIS COURT BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272313",
            "telephone_number": "347-860-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143099",
            "telephone_number": "347-860-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8843 Hollis Court Blvd",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114272313",
            "country_code": "US",
            "telephone_number": "347-860-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIPOL",
        "first_name": "JAN GREGORY",
        "middle_name": "YABUT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.